FORM 1023-EZ for BREATHE MOVE REST INC

Field Data
EIN 81-4973051
Case Number EO-2017135-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BREATHE MOVE REST INC
Organization’s Mailing Address 206 VANDERBILT AVENUE
City BROOKLYN
State NY
ZIP 11205-4103
Accounting period End 12
Primary contact name LEONARD EASTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWIN STERN
PRESIDENT
206 VANBERBILT AVENUE
BROOKLYN NY 11205-4103

Officer/Director/Trustee Two

BARBARA VEROCCHI
TREASURER
361 CLINTON AVENUE
BROOKLYN NY 11238-1140

Officer/Director/Trustee Three

MELANIE PARKER
SECRETARY
1240 BEDFORD AVENUE
BROOKLYN NY 11216-1883

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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